Vip Primary Care LLC
Organization Active NPI Rural Health Clinic/Center · Oliver Springs, TN
NPI 1124791975 · NPPES record last updated Nov 7, 2024
Key facts
- NPI
- 1124791975
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- VIP PRIMARY CARE LLC
- Practice address
- 933 E Tri County Blvd
Oliver Springs, TN 37840-1838 - Phone
- (865) 314-0092
- Fax
- (865) 730-4250
- NPI assigned
- Jul 28, 2021
- Organization subpart
- No
Authorized official
- Name
- Troyal Lynn Craig, FNP-C
- Title
- Owner
- Phone
- (865) 314-0092
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2083825 | Vip Primary Care LLC | Certificate of waiver | Sep 11, 2026 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
933 E Tri County Blvd
Oliver Springs, TN 37840-1838
Mailing address
933 E Tri County Blvd
Oliver Springs, TN 37840-1838
Phone (865) 314-0092
Other providers in Oliver Springs, TN
- Tammy June Thacker
- Mary Jo Trobaugh
- United Apothecary Inc
- United Apothecary Inc
- Vip Family Home LLC
- Volunteer Care Services LLC
- Walgreen Co
- Carrie King White
- Melba E Wilson
- Melissa Darlene Wrinkle
All providers in Oliver Springs, TN · Rural Health Clinic/Center in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.